Date of Award
Spring 4-5-2021
Document Type
Scholarly Project
Degree Name
Doctor of Nursing Practice (DNP)
Department
Nursing
First Advisor
Sue Ellen Bingham, PhD
Second Advisor
Michelle Sterling, DNP
Abstract
Practice Problem: Falls are a significant healthcare issue that leads to substantial patient suffering and exorbitant health care expense. The Centers for Medicare and Medicaid Services (CMS) identify falls as preventable and not eligible for reimbursement.
PICOT: The PICOT question that guided this project was: for acute rehabilitation inpatients (P), will the continuous use of video monitoring (VM) (I) compared to using bed alarms (C), decrease the fall rate by 10% (O) within six weeks of implementation (T)?
Evidence: The practice recommendation for using a VM system as a primary intervention or part of a multifactorial comprehensive fall prevention strategy was recommended in the literature to improve patient safety and outcomes.
Intervention: VM surveillance was used to decrease the prevalence of falls in moderate to high fall risk traumatic brain injury (TBI) patients on a rehabilitation unit. VM technicians verbally refocused patients and quickly alerted staff to potential falls.
Outcome: The intervention achieved a 49% reduction in the hospital fall rate per 1,000 patient days, 65% in the rehabilitation fall rate per 1,000 patient days, 100% reduction in the TBI fall rate per 1,000 patient days, and a 30% reduction in cost for 1:1 sitter.
Conclusion: This clinical project demonstrated support for the use of live VM surveillance to decrease fall rates on a TBI unit. As a result, this evidence-based project (EBP) project was recognized as improving the organization's clinical care.
Recommended Citation
Alfonso, P. (2021). Reducing Fall Among Acute Rehabilitation Patients Through Implementation of a Video Monitoring System. [Doctoral project, University of St Augustine for Health Sciences]. SOAR @ USA: Student Scholarly Projects Collection. https://doi.org/10.46409/sr.AQZY9871
Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.
Comments
Scholarly project submitted to University of St. Augustine for Health Sciences in partial fulfillment of the requirements for the degree of Doctor of Nursing Practice.